Health policy wonk (Medicaid #1 priority), coffee drinker, news junkie & occasional do-gooder from So Cal. Fight on Trojans!
Akeiisa Coleman
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Kate Morton at Albuquerque Health Care for the Homeless, where most patients have #Medicaid, worries the new burden will fall on her & her patients. The extra paperwork will leave less time to focus on patients’ complex health needs, including high rates of SUD.
www.kunm.org/medicaid-cut...
Vital reporting from @rosebroderick.bsky.social at @statnews.com about the impact of Medicaid “fraud” crackdowns on disabled people. www.statnews.com/2026/06/15/m...
Akeiisa Coleman
States have some ways to tell whether someone has a diagnosis & we've heard states are working on code lists & claims data they can use to try to identify people automatically who would have this exemption...But adding an element of ‘unable to work’ — nobody knows where that data will come from.
I know a lot of #Medicaid folks are focused on digesting the work requirement rule. Don't forget the SDP rule that recently came out will also have a major impact across all states. This thread offers a good summary. #healthpolicy
New in Health Affairs: "As written, the medical frailty rule not only departs from the law on which it is based but seriously endangers the health of low-income working-age adults." www.healthaffairs.org/content/fore... #Medicaid #WorkRequirement #healthpolicy
Also there's a response to the recent ASPE report suggesting poverty would decline due to the #Medicaid work requirement: "The review, however, critically omits studies of actual Medicaid work-requirement experiments." www.healthaffairs.org/content/fore... #workrequirement #healthpolicy
Even with a new $50 billion investment in rural health, every state is projected to experience net economic and employment losses by 2029 under H.R. 1, according to a new analysis by Leighton Ku and colleagues at GWU www.commonwealthfund.org/publications... #OBBBA #healthpolicy #HR1 #RHTF
"California, Texas, Indiana, Florida, Georgia, Illinois, Ohio, Arizona, Virginia and Kentucky accounted for 67% of enrollment losses. The geographic and political diversity of these states underscores that this is a widespread problem." #Medicaid #CHIP #healthpolicy
"States are going to be asked to make a determination using information that doesn’t exist in their systems."
Still lots of confusion over whether/how states can automate frailty determinations for Medicaid work requirements.
And states don't have the luxury of time for CMS to figure this out.
Great story from over the weekend on how states — red and blue — are struggling with the costs of rushing to stand up work requirements.
These concerns could get worse if the IFR (expected this afternoon) includes "surprises" that contradict implementation choices states have already made
Sara Luterman
Akeiisa Coleman
Akeiisa Coleman
Akeiisa Coleman
Akeiisa Coleman
States dealing with budget shortfalls are facing tens of millions of dollars in new costs ahead of the federal Jan. 1 deadline.
Thousands of New Mexicans rely on Medicaid to get treatment for life-threatening substance use disorders. Keeping that coverage is about to get harder.
The new rule implementing HR 1’s Medicaid community engagement provision diverges from state expectations. No last-minute change is likely more harmful than the administration’s final approach to “med...
My latest blog explores the 2 million decline in child Medicaid enrollment and which states are seeing the largest declines.
ccf.georgetown.edu/2026/06/10/w...
Blood cancer survivor DeAnna Brandon worries about new Medicaid work requirements affecting her health coverage
Georgetown CCF has been closely monitoring Medicaid/CHIP enrollment for many years — especially during periods of rapid change. Unfortunately, we are in another period where large declines in child Me...
New Medicaid rules may force doctors to do something they were never trained to do: determine which patients with HIV, cancer and other conditions are too sick to work. Doctors told me this will be especially hard bc the energy/mobility of the chronically ill fluctuates day-to-day.
My colleague Leo Cuello on a recently released CMS proposed rule that goes well beyond just implementing the requirements of H.R. 1 in further restricting state-directed payments to hospitals and other providers (1/x): ccf.georgetown.edu/2026/05/28/c...
Trump administration wants ill recipients to prove they can’t work every six months. Doctors, advocates and state officials wonder how.
Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation on...
